A standard-driven communication protocol for disconnected clinics in rural areas

The importance of the Electronic Health Record (EHR), which stores all healthcare-related data belonging to a patient, has been recognized in recent years by governments, institutions, and industry. Initiatives like Integrating the Healthcare Enterprise (IHE) have been developed for the definition of standard methodologies for secure and interoperable EHR exchanges among clinics and hospitals. Using the requisites specified by these initiatives, many large-scale projects have been set up to enable healthcare professionals to handle patients' EHRs. Applications deployed in these settings are often considered safety-critical, thus ensuring such security properties as confidentiality, authentication, and authorization is crucial for their success. In this paper, we propose a communication protocol, based on the IHE specifications, for authenticating healthcare professionals and assuring patients' safety in settings where no network connection is available, such as in rural areas of some developing countries. We define a specific threat model, driven by the experience of use cases covered by international projects, and prove that an intruder cannot cause damages to the safety of patients and their data by performing any of the attacks falling within this threat model. To demonstrate the feasibility and effectiveness of our protocol, we have fully implemented it

Cross-enterprise access control security for electronic health records: Technical, practical and legislation impact

In this thesis we investigate the relationship of security, privacy, legislation, computational power in relation to Cross-Enterprise User Assertions (XUA), which allows us to develop the recommendations for the appropriate, architecture, functionality, cryptographic algorithms, and key lengths. The evolution of health records from paper to electronic media promises to be an important part of improving the quality of health care. The diversity of organizations, systems, geography,laws and regulations create a significant challenge for ensuring the privacy of Electronic Health Records (EHRs), while maintaining availability. XUA is a technology that attempts to address the problem of sharing EHRs across enterprise boundaries. We rely on NSA suite B cryptography to provide the fundamental framework of the minimum security requirements at the 128 bit security level. We also recommend the use of the National Institute of Standards and Technologys (NIST) FIPS 140-2 specification to establish confidence in the software\u27s security features

Implementation of a single sign on solution using security assertion markup language

Estágio realizado na ALERT Life Sciences Computing, S.A. e orientado pelo Eng.º Filipe PereiraTese de mestrado integrado. Engenharia Informática e Computação. Faculdade de Engenharia. Universidade do Porto. 200

Tutorial: Identity Management Systems and Secured Access Control

Identity Management has been a serious problem since the establishment of the Internet. Yet little progress has been made toward an acceptable solution. Early Identity Management Systems (IdMS) were designed to control access to resources and match capabilities with people in well-defined situations, Today’s computing environment involves a variety of user and machine centric forms of digital identities and fuzzy organizational boundaries. With the advent of inter-organizational systems, social networks, e-commerce, m-commerce, service oriented computing, and automated agents, the characteristics of IdMS face a large number of technical and social challenges. The first part of the tutorial describes the history and conceptualization of IdMS, current trends and proposed paradigms, identity lifecycle, implementation challenges and social issues. The second part addresses standards, industry initia-tives, and vendor solutions. We conclude that there is disconnect between the need for a universal, seamless, trans-parent IdMS and current proposed standards and vendor solutions

30P. Federated Identity Management: Why is Adoption so Low?

As enterprises extend internal systems and applications to external users, it is important to ensure that the user experience operates seamlessly between disparate organizations. To meet this challenge, Federated Identity Management (FIM, also single sign-on) provides an economically efficient and convenient way of providing connectivity to customers, partners, suppliers, and others. FIM is a topic of widespread discussion with rapid growth predicted for almost ten years. This growth has not happened. This prescriptive study identifies some key factors contributing to the slow adoption of FIM technology, including technological complexities, lack of trust between partners, and the complications and expenditures involved in establishing and maintaining contractual agreements between partners

Improving privacy in identity management systems for health care scenarios

Privacy is a very complex and subjective concept with different meaning to different people. The meaning depends on the context. Moreover, privacy is close to the user information and thus, present in any ubiquitous computing scenario. In the context of identity management (IdM), privacy is gaining more importance since IdM systems deal with services that requires sharing attributes belonging to users’ identity with different entities across domains. Consequently, privacy is a fundamental aspect to be addressed by IdM to protect the exchange of user attributes between services and identity providers across different networks and security domains in pervasive computing. However, problems such as the effective revocation consent, have not been fully addressed. Furthermore, privacy depends heavily on users and applications requiring some degree of flexibility. This paper analyzes the main current identity models, as well as the privacy support presented by the identity management frameworks. After the main limitations are identified, we propose a delegation protocol for the SAML standard in order to enhance the revocation consent within healthcare scenarios.Proyecto CCG10-UC3M/TIC-4992 de la Comunidad Autónoma de Madrid y la Universidad Carlos III de Madri

Contributions to the privacy provisioning for federated identity management platforms

Identity information, personal data and user’s profiles are key assets for organizations and companies by becoming the use of identity management (IdM) infrastructures a prerequisite for most companies, since IdM systems allow them to perform their business transactions by sharing information and customizing services for several purposes in more efficient and effective ways. Due to the importance of the identity management paradigm, a lot of work has been done so far resulting in a set of standards and specifications. According to them, under the umbrella of the IdM paradigm a person’s digital identity can be shared, linked and reused across different domains by allowing users simple session management, etc. In this way, users’ information is widely collected and distributed to offer new added value services and to enhance availability. Whereas these new services have a positive impact on users’ life, they also bring privacy problems. To manage users’ personal data, while protecting their privacy, IdM systems are the ideal target where to deploy privacy solutions, since they handle users’ attribute exchange. Nevertheless, current IdM models and specifications do not sufficiently address comprehensive privacy mechanisms or guidelines, which enable users to better control over the use, divulging and revocation of their online identities. These are essential aspects, specially in sensitive environments where incorrect and unsecured management of user’s data may lead to attacks, privacy breaches, identity misuse or frauds. Nowadays there are several approaches to IdM that have benefits and shortcomings, from the privacy perspective. In this thesis, the main goal is contributing to the privacy provisioning for federated identity management platforms. And for this purpose, we propose a generic architecture that extends current federation IdM systems. We have mainly focused our contributions on health care environments, given their particularly sensitive nature. The two main pillars of the proposed architecture, are the introduction of a selective privacy-enhanced user profile management model and flexibility in revocation consent by incorporating an event-based hybrid IdM approach, which enables to replace time constraints and explicit revocation by activating and deactivating authorization rights according to events. The combination of both models enables to deal with both online and offline scenarios, as well as to empower the user role, by letting her to bring together identity information from different sources. Regarding user’s consent revocation, we propose an implicit revocation consent mechanism based on events, that empowers a new concept, the sleepyhead credentials, which is issued only once and would be used any time. Moreover, we integrate this concept in IdM systems supporting a delegation protocol and we contribute with the definition of mathematical model to determine event arrivals to the IdM system and how they are managed to the corresponding entities, as well as its integration with the most widely deployed specification, i.e., Security Assertion Markup Language (SAML). In regard to user profile management, we define a privacy-awareness user profile management model to provide efficient selective information disclosure. With this contribution a service provider would be able to accesses the specific personal information without being able to inspect any other details and keeping user control of her data by controlling who can access. The structure that we consider for the user profile storage is based on extensions of Merkle trees allowing for hash combining that would minimize the need of individual verification of elements along a path. An algorithm for sorting the tree as we envision frequently accessed attributes to be closer to the root (minimizing the access’ time) is also provided. Formal validation of the above mentioned ideas has been carried out through simulations and the development of prototypes. Besides, dissemination activities were performed in projects, journals and conferences.Programa Oficial de Doctorado en Ingeniería TelemáticaPresidente: María Celeste Campo Vázquez.- Secretario: María Francisca Hinarejos Campos.- Vocal: Óscar Esparza Martí

Policy-Controlled Authenticated Access to LLN-Connected Healthcare Resources.

Ubiquitous devices comprising several resource-constrained nodes with sensors, actuators, and networking capabilities are becoming part of many solutions that seek to enhance user's environment smartness and quality of living, prominently including enhanced healthcare services. In such an environment, security issues are of primary concern as a potential resource misuse can severely impact user's privacy or even become life threatening. Access to these resources should be appropriately controlled to ensure that eHealth nodes are adequately protected and the services are available to authorized entities. The intrinsic resource limitations of these nodes, however, make satisfying these requirements a great challenge. This paper proposes and analyzes a service-oriented architecture that provides a policy-based, unified, cross-platform, and flexible access control mechanism, allowing authorized entities to consume services provided by eHealth nodes while protecting their valuable resources. The scheme is XACML driven, although modifications to the related standardized architecture are proposed to satisfy the requirements imposed by nodes that comprise low-power and lossy networks (LLNs). A proof-of-concept implementation is presented, along with the associated performance evaluation, confirming the feasibility of the proposed approach

Assured information sharing for ad-hoc collaboration

Collaborative information sharing tends to be highly dynamic and often ad hoc among organizations. The dynamic natures and sharing patterns in ad-hoc collaboration impose a need for a comprehensive and flexible approach to reflecting and coping with the unique access control requirements associated with the environment. This dissertation outlines a Role-based Access Management for Ad-hoc Resource Shar- ing framework (RAMARS) to enable secure and selective information sharing in the het- erogeneous ad-hoc collaborative environment. Our framework incorporates a role-based approach to addressing originator control, delegation and dissemination control. A special trust-aware feature is incorporated to deal with dynamic user and trust management, and a novel resource modeling scheme is proposed to support fine-grained selective sharing of composite data. As a policy-driven approach, we formally specify the necessary pol- icy components in our framework and develop access control policies using standardized eXtensible Access Control Markup Language (XACML). The feasibility of our approach is evaluated in two emerging collaborative information sharing infrastructures: peer-to- peer networking (P2P) and Grid computing. As a potential application domain, RAMARS framework is further extended and adopted in secure healthcare services, with a unified patient-centric access control scheme being proposed to enable selective and authorized sharing of Electronic Health Records (EHRs), accommodating various privacy protection requirements at different levels of granularity